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Commodity Clearance Certification
FDA certification form for commodity clearance
Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: DATE
FCO No.: YY-MM-DD-XXXX
CERTIFICATION
TO WHOM THIS MAY CONCERN:
This is to certify that:
PRODUCT DESCRIPTION
QUANTITY
xxxxxxxxx
xxxxxxx
x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x-x
manufactured/distributed by MANUFACTURER/DISTRIBUTOR'S NAME,
Manufacturer/Distributor's Address was found to conform with the Product Standards.
This is to certify further that said product/s is fit for human consumption and freely sold in
the Philippines.
The certification is being issued upon the request of CONSIGNOR'S NAME, Consignor's
Name in connection with their export to:
Consignee:
CONSIGNEE'S NAME
Consignee's Address
BY AUTHORITY OF THE FDA ACTING DIRECTOR GENERAL
PILAR MARILYN M. PAGAYUNAN
OIC, CENTER FOR FOOD REGULATION AND RESEARCH
